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Delaware rates for HCPCS L3702

Elbow orthosis (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.18 / $127.18 / $321.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.18 / $169.87 / $186.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $180.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $129.03 / $180.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.91 / $154.18 / $232.24